Martin M F, Scott D G, Gilbert C, Dieppe P A, Easty D L
Br Med J (Clin Res Ed). 1981 May 30;282(6278):1745-6. doi: 10.1136/bmj.282.6278.1745.
A woman with exacerbation of severe rheumatoid arthritis developed lesions compatible with retinal vasculitis. Laboratory studies confirmed the diagnosis, and the rapid clinical improvement that accompanied a fall in circulating immune complexes suggested that the vasculitis was a direct consequence of the rheumatoid disease. From these observations retinal vasculitis should probably be sought in any patient with rheumatoid disease and the vasculitis added to the list of ocular complications of rheumatoid arthritis.
一名患有严重类风湿性关节炎病情加重的女性出现了与视网膜血管炎相符的病变。实验室检查确诊了病情,而随着循环免疫复合物水平下降出现的迅速临床改善表明,血管炎是类风湿疾病的直接后果。基于这些观察结果,对于任何类风湿疾病患者,都应排查视网膜血管炎,并将这种血管炎列入类风湿性关节炎的眼部并发症清单中。